双动全髋关节假体全髋关节置换术治疗创伤性股骨颈骨折的效果分析  

Application of double-action total hip prosthesis and total hip replacement in the treatment of traumatic femoral neck fractures

作　　者：马翔宇 王文革 吴建临 刘琦 MA Xiangyu;WANG Wenge;WU Jianlin(Department of Orthopedics,Linfen Central Hospital,Shanxi,Linfen 041000,China)

机构地区：[1]山西省临汾市中心医院骨科,041000

出　　处：《临床外科杂志》2022年第7期662-665,共4页Journal of Clinical Surgery

基　　金：山西省卫生计生委科研课题计划(2018154)。

摘　　要：目的探讨双动全髋关节假体全髋关节置换术治疗创伤性股骨颈骨折的效果。方法2018年1月~2020年12月收治的创伤性股骨颈骨折病人65例,根据治疗方法不同分为两组,观察组27例,行双动全髋关节假体全髋关节置换术,对照组38例,采用传统全髋关节置换术。对两组病人的手术指标、髋关节功能和日常生活能力、生活质量、髋关节活动范围、并发症发生率进行比较。结果观察组手术指标改善均优于对照组,差异有统计学意义(P<0.05),术后3个月、6个月两组病人髋关节功能、日常生活能力评分、生活质量评分均升高,观察组高于对照组,术后6个月评分高于术后3个月,差异有统计学意义(P<0.05),术后6个月两组病人联合前倾角比较差异无统计学意义(P>0.05),观察组内外旋活动度、内外展活动度、屈伸活动度高于对照组,并发症发生率低于对照组,两组比较差异有统计学意义(P<0.05)。结论创伤性股骨颈骨折采用双动全髋关节假体全髋关节置换术可改善手术指标和髋关节功能,提高日常生活能力和生活质量,降低并发症发生率。Objective To investigate the effect of double acting total hip arthroplasty in the treatment of traumatic femoral neck fracture.Methods The clinical data of 65 patients with total hip arthroplasty in the Department of orthopedics of Linfen Central Hospital from January 2018 to December 2020 were collected.27 patients with double acting total hip arthroplasty were used as the observation group and 38 patients with traditional total hip arthroplasty were used as the control group,the observation group was treated with double acting total hip arthroplasty,and the control group was treated with traditional total hip arthroplasty.The operation indexes,hip function and activities of daily living,quality of life,range of motion of hip joint and incidence of complications were compared and analyzed between the two groups.Result The improvement of surgical indexes in the observation group was better than that in the control group(P<0.05).The hip function,ADL score and quality of life score of the two groups were increased at 3 and 6 months after treatment.The score in the observation group was higher than that in the control group,and the score at 6 months after treatment was higher than that at 3 months after treatment(P<0.05).There was no significant difference in combined anteversion between the two groups at 6 months after treatment(P>0.05),the activities of internal and external rotation,internal and external exhibition and flexion and extension in the observation group were higher than those in the control group,and the incidence of complications in the observation group was lower than that in the control group(both P<0.05).Conclusion The treatment of traumatic femoral neck fracture with double acting total hip arthroplasty can effectively improve the surgical indexes and hip function,improve the ability of daily life and quality of life,and reduce the incidence of complications.

关 键 词：创伤性股骨颈骨折 全髋关节置换术 双动全髋关节 髋关节功能 并发症 

分 类 号：R687.4[医药卫生—骨科学]